HomeMy WebLinkAboutLat_13921PennsylvaniaAvenue, r
4AS H I N GTON
33 W. WASHINGTON STREET
R.O. BOX 571
SUBDISTRICT NO • 15 -
PERMIT TOCONNECT TOPUBLIC SEWERAGE/WATER SYSTEM Maugansvi 1 le/Orchard'
Hills
Permission is hereby given to: Hi CKey L. F reeimaii
For Property Located at: 2540 Pennsylvania Avenue
COUNTY SANITARY DISTRICT PERMIT NO.
HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE
Ownedby: Mickey L. Freeman Address: 2540 Pennsylvania Avenue, Hagerstown. M
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Units
To Main Line:
Other
Industrial
Connection Fee $620.00 — Date Paid 21120/As,
To connect to a public sewerage/\4A& system (with proper abandonment of previous private system). The installation
of the connection and the abandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryland and Washington County Sanitary District Specifications.
This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Water Account No. Unknown. Secretary-Treasurgr
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
xz�Final Inspection Made BY: Date Z -.&
Plumbin Inspector
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee 1 Plumbing Board :3
Date
Field i Office it City of Hag. 1
WASHINGTON COUNTY SANITAP 'DISTRICT
WASHINGTON COUNTY, MD.
Ask SANITARY SEWER LATE'.
CONSTRUCTION REC0i�1'-
Project: MauQansville/Orchard Hills Sanitary Sewerage Collection System
l3Ra.i
Street (or location) : rA.I 88D -cS4O 4nnx1/vcrn1g Ave
Contractor: ` Lisbon Contractors. Inc. --
Date Installed 4 tlo!j 8d-
MH &rte T 0 MH &,,4
Wye Sta. On Mainot2�5�T.
YE
SIZE
SI - 2T__
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE-EX
LATERAL
CAV.
LENGTH
LAYINT
LENGTH
JK�KB
P �l.G.
'50226
P.[G.
5.�a5UF,
St'd.
�
* Tota
HOT7.�
i
/
ops + orz= o a
Drop
17 '70 L. F.
b -76t 10.5o=1725L.F
NOTES:
6 "_DFt e& IP -
3%
4S' SenrJ-s
Depth of Cleanout 5.-3BV.F. ®Flow Line
Cleanout t�-3 ' romp HArA,/
Layed ®_ <3 iG A;kr,Drop
- A�Q Basement Service
MH# &63
MH#"</-
c.v.
-- 2 'Siu6 Cc�p
Amounts per,t�fining to Work completed this peri d, reviewed and approved.
BY
D Ins actor Contractors Rep.
Property Address:
33 (�
c.Lo'
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
Contract No. SD15- 3-S
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the
property. Place a wooden stake in the ground at that location.
�'7'� DMH SD15- 664
DRAIN FIELD
- ab,!J
9
7
(,5 (2 4)
I I
/ I
*NOTE:
CONTRAG
SEPTIC T
CONSTRd
SEE EASE
OF SEPTI
The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, and make less expensive, the owner's
connection to the lateral and to prevent damage to the c pout
which will be installed by the District at or near the ro erty
line. ,
Date: � - F -30. ) --
Owner
Owner
Attest: a
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
ViIASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 (301) 791.3083
(5A -t 4F 45g()
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
y ' %JLzr)0 A7- 60Kg
Address4c,
Signed
LZ Property Owner
Date / --//-
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
Requested by Lisbon Contractors, Inc.
Approved by W. C , S. D. Inspector
Date '�"